| NPI | 1316339435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L BALOG Speech Language Pathologist 734-658-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000924) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |